Conventional Cementless Total Hip Arthroplasty for Hip Osteoarthritis after Distal Trochanteric Transfer: A Report of Two Cases.
Hirohito HirataMotoki SonohataAkira HashimotoSakumo KiiTakema NakashimaMasaya UenoShuichi EtoShunsuke KawanoMasaaki MawatariPublished in: Case reports in orthopedics (2020)
Distal trochanteric transfer (DTT) has been widely performed to treat developmental dysplasia of the hip or Perthes disease. Total hip arthroplasty (THA) following DTT in patients with hip osteoarthritis is one of the most challenging procedures for hip surgeons, because great care must be taken regarding anatomical abnormalities of the greater trochanter and the soft tissue attached to the greater trochanter. To the best of our knowledge, there are no reports on THA after DTT. We herein report two cases of patients who underwent THA post DTT using cementless components. After THA, both patients developed abduction temporary contraction because of leg length extension and gluteus medius hypertension. However, in both cases, the contraction was reversible within two months and the final clinical result was good. Therefore, THA can be considered an effective and safe choice for treating osteoarthritis after DTT.
Keyphrases
- total hip arthroplasty
- end stage renal disease
- ejection fraction
- rheumatoid arthritis
- healthcare
- chronic kidney disease
- newly diagnosed
- soft tissue
- prognostic factors
- peritoneal dialysis
- palliative care
- minimally invasive
- knee osteoarthritis
- blood pressure
- quality improvement
- smooth muscle
- patient reported
- drug induced
- decision making